1980, 02-04 Permit: 80-834 Water SoftenerPLAN NUMBER APPLICATION/ PERMIT 4PPERMIT NUMBER �
SPOKANE COUNTY - BUILDING CODES DEPARTMENT I 13 q i
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE
03* *300
*3.00
*300
E *000
83.32
02-04-80
2 6,479.
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
APPLICANT:
COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
7, OF F-1 OTHER
El BLD. �PLMB. ❑ MECH: ElM.H. ❑ POOL
CERTIFICATE
LEGAL DESCRIPTION - SEE ATTACHED
I Recd.
Not Req'd.
WORK
of EXEMPTION
LOT
BLOCK
SUBDIVISION
8
PARCEL NUMBER/S
2.
GAS
I
WATT—R7
SEWER
of
OWNER
PHONE
9,
3.J
ADDRESS
ZIP
Required Set Backs in Feet
• .
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
J
%Jr OrG�
North South
East West
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
CONTRACTOR
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
PHONE
Size of Parcel
Zone Classification
DATE SIGNATURE
)
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D.
4.
ADDR S
i
ZIP
Type Const. I
Occupancy
Sprinklered
7
Fire Marshall
Dyes ❑No ❑ Req'd.
Other (Specify)
Utilities
C,q
TOTAL $
-
Zone Clearance
DESIGNER
IN THIS SPACE,
WHEN MACHINE VALIDATED
PHONE
Valuation
Building Area in Sq. Ft.
5'
i — 0 t — !i l;
n
'A
ADDRESS
ZIP
DWL Area
Basement Area
Garage Ar;7T
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
No Baths No. Floors No. Rooms Rec. Room
03* *300
*3.00
*300
E *000
83.32
02-04-80
2 6,479.
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF F-1 OTHER
El BLD. �PLMB. ❑ MECH: ElM.H. ❑ POOL
CERTIFICATE
Req'd.
I Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
FEES COLLECTED
8
VALUATION
Source
GAS
ELECTRIC
WATT—R7
SEWER
of
9,
Utilities
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Q�
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.
Plumbing
DATE SIGNATURE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
3 tell
TOTAL $
-
Zone Clearance
IN THIS SPACE,
WHEN MACHINE VALIDATED
THIS BECOMES A{PERMIT.
SEPA Checklist �1
lI M M TTY",l.!
i — 0 t — !i l;
n
'A
APPROVED FOR ISSUANCE